{"id":"https://openalex.org/W7222007147","doi":"https://doi.org/10.3389/frcha.2026.1907727","title":"A mixed-methods study of depressive-symptom severity among Thai university students and the underestimated role of social media","display_name":"A mixed-methods study of depressive-symptom severity among Thai university students and the underestimated role of social media","publication_year":2026,"publication_date":"2026-10-15","ids":{"openalex":"https://openalex.org/W7222007147","doi":"https://doi.org/10.3389/frcha.2026.1907727","pmid":"https://pubmed.ncbi.nlm.nih.gov/42959322","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13716781"},"language":"en","primary_location":{"id":"doi:10.3389/frcha.2026.1907727","doi":"https://doi.org/10.3389/frcha.2026.1907727","is_oa":true,"landing_page_url":"https://doi.org/10.3389/frcha.2026.1907727","pdf_url":"https://www.frontiersin.org/journals/child-and-adolescent-psychiatry/articles/10.3389/frcha.2026.1907727/pdf","source":{"id":"https://openalex.org/S4387284405","display_name":"Frontiers in Child and Adolescent Psychiatry","issn_l":"2813-4540","issn":["2813-4540"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Child and Adolescent Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/child-and-adolescent-psychiatry/articles/10.3389/frcha.2026.1907727/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5056762595","display_name":"Pichit Boonkrong","orcid":"https://orcid.org/0000-0001-5105-0460","observed_orcids":["https://orcid.org/0000-0001-5105-0460"]},"institutions":[{"id":"https://openalex.org/I89226531","display_name":"Rangsit University","ror":"https://ror.org/01cqcrc47","country_code":"TH","type":"education","lineage":["https://openalex.org/I89226531"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Pichit Boonkrong","raw_affiliation_strings":["College of Biomedical Engineering, Rangsit University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Biomedical Engineering, Rangsit University","institution_ids":["https://openalex.org/I89226531"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158830289","display_name":"Kodchakorn Khunboonjun","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I89226531","display_name":"Rangsit University","ror":"https://ror.org/01cqcrc47","country_code":"TH","type":"education","lineage":["https://openalex.org/I89226531"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Kodchakorn Khunboonjun","raw_affiliation_strings":["College of Biomedical Engineering, Rangsit University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Biomedical Engineering, Rangsit University","institution_ids":["https://openalex.org/I89226531"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059151928","display_name":"Subij Shakya","orcid":"https://orcid.org/0000-0002-2229-6493","observed_orcids":["https://orcid.org/0000-0002-2229-6493"]},"institutions":[{"id":"https://openalex.org/I133731052","display_name":"University of Helsinki","ror":"https://ror.org/040af2s02","country_code":"FI","type":"education","lineage":["https://openalex.org/I133731052"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Subij Shakya","raw_affiliation_strings":["Department of Food and Nutrition, University of Helsinki"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Food and Nutrition, University of Helsinki","institution_ids":["https://openalex.org/I133731052"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121387066","display_name":"Junwei Yang","orcid":"https://orcid.org/0009-0005-5713-7440","observed_orcids":["https://orcid.org/0009-0005-5713-7440"]},"institutions":[{"id":"https://openalex.org/I158708052","display_name":"Chulalongkorn University","ror":"https://ror.org/028wp3y58","country_code":"TH","type":"education","lineage":["https://openalex.org/I158708052"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Junwei Yang","raw_affiliation_strings":["Department of Electrical Engineering, Faculty of Engineering, Chulalongkorn University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Electrical Engineering, Faculty of Engineering, Chulalongkorn University","institution_ids":["https://openalex.org/I158708052"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158828328","display_name":"Naphatsakon Vitoonmetha","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I89226531","display_name":"Rangsit University","ror":"https://ror.org/01cqcrc47","country_code":"TH","type":"education","lineage":["https://openalex.org/I89226531"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Naphatsakon Vitoonmetha","raw_affiliation_strings":["Health Welfare Office, Rangsit University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Welfare Office, Rangsit University","institution_ids":["https://openalex.org/I89226531"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083608677","display_name":"Manaporn Chatchumni","orcid":"https://orcid.org/0000-0002-1123-1336","observed_orcids":["https://orcid.org/0000-0002-1123-1336"]},"institutions":[{"id":"https://openalex.org/I89226531","display_name":"Rangsit University","ror":"https://ror.org/01cqcrc47","country_code":"TH","type":"education","lineage":["https://openalex.org/I89226531"]}],"countries":["TH"],"is_corresponding":true,"raw_author_name":"Manaporn Chatchumni","raw_affiliation_strings":["Health Welfare Office, Rangsit University","School of Nursing, Rangsit University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Welfare Office, Rangsit University","institution_ids":["https://openalex.org/I89226531"]},{"raw_affiliation_string":"School of Nursing, Rangsit University","institution_ids":["https://openalex.org/I89226531"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5083608677"],"corresponding_institution_ids":["https://openalex.org/I89226531"],"apc_list":{"value":1950,"currency":"CHF","value_usd":2353},"apc_paid":{"value":1950,"currency":"CHF","value_usd":2353},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.82934608,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"5","issue":null,"first_page":"1907727","last_page":"1907727"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10355","display_name":"Impact of Technology on Adolescents","score":0.9735999703407288,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10355","display_name":"Impact of Technology on Adolescents","score":0.9735999703407288,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14085","display_name":"Student Stress and Coping","score":0.022299999371170998,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/depressive-symptoms","display_name":"depressive symptoms","score":0.9539999961853027},{"id":"https://openalex.org/keywords/college-students","display_name":"university students","score":0.8690000176429749},{"id":"https://openalex.org/keywords/social-media-use","display_name":"social media use","score":0.9980000257492065},{"id":"https://openalex.org/keywords/perceived-stressors","display_name":"perceived stressors","score":0.9359999895095825},{"id":"https://openalex.org/keywords/digital-well-being","display_name":"digital well-being","score":0.6940000057220459},{"id":"https://openalex.org/keywords/sleep","display_name":"sleep","score":0.9480000138282776},{"id":"https://openalex.org/keywords/coping","display_name":"coping","score":0.6470000147819519},{"id":"https://openalex.org/keywords/social-support","display_name":"social support","score":0.9779999852180481},{"id":"https://openalex.org/keywords/help-seeking","display_name":"help-seeking","score":0.9959999918937683},{"id":"https://openalex.org/keywords/thai-students","display_name":"Thai students","score":0.5270000100135803}],"concepts":[{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6628000140190125},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.593500018119812},{"id":"https://openalex.org/C518677369","wikidata":"https://www.wikidata.org/wiki/Q202833","display_name":"Social media","level":2,"score":0.5781999826431274},{"id":"https://openalex.org/C125370674","wikidata":"https://www.wikidata.org/wiki/Q1527480","display_name":"Stressor","level":2,"score":0.5139999985694885},{"id":"https://openalex.org/C162127614","wikidata":"https://www.wikidata.org/wiki/Q5928045","display_name":"Ambivalence","level":2,"score":0.46299999952316284},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.4401000142097473},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.4293999969959259},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.41440001130104065},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.40070000290870667},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.3955000042915344},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.3865000009536743},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.37540000677108765},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.36820000410079956},{"id":"https://openalex.org/C87227347","wikidata":"https://www.wikidata.org/wiki/Q7100713","display_name":"Ordered logit","level":2,"score":0.33000001311302185},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.326200008392334},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.3172999918460846},{"id":"https://openalex.org/C65067816","wikidata":"https://www.wikidata.org/wiki/Q2295139","display_name":"Computer-assisted web interviewing","level":2,"score":0.31150001287460327},{"id":"https://openalex.org/C2778564845","wikidata":"https://www.wikidata.org/wiki/Q18207666","display_name":"Center for Epidemiologic Studies Depression Scale","level":4,"score":0.3046000003814697},{"id":"https://openalex.org/C80245801","wikidata":"https://www.wikidata.org/wiki/Q1477475","display_name":"Semi-structured interview","level":3,"score":0.29919999837875366},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.28459998965263367},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.2815000116825104},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.2793000042438507},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.2768000066280365},{"id":"https://openalex.org/C143299363","wikidata":"https://www.wikidata.org/wiki/Q900584","display_name":"Attribution","level":2,"score":0.27059999108314514},{"id":"https://openalex.org/C83849319","wikidata":"https://www.wikidata.org/wiki/Q7295720","display_name":"Rating scale","level":2,"score":0.257999986410141},{"id":"https://openalex.org/C156393514","wikidata":"https://www.wikidata.org/wiki/Q6934800","display_name":"Multimethodology","level":2,"score":0.25690001249313354},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.25589999556541443}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/frcha.2026.1907727","doi":"https://doi.org/10.3389/frcha.2026.1907727","is_oa":true,"landing_page_url":"https://doi.org/10.3389/frcha.2026.1907727","pdf_url":"https://www.frontiersin.org/journals/child-and-adolescent-psychiatry/articles/10.3389/frcha.2026.1907727/pdf","source":{"id":"https://openalex.org/S4387284405","display_name":"Frontiers in Child and Adolescent Psychiatry","issn_l":"2813-4540","issn":["2813-4540"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Child and Adolescent Psychiatry","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13716781","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13716781/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13716781/pdf/frcha-05-1907727.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Child Adolesc Psychiatry","raw_type":"Text"},{"id":"pmid:42959322","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42959322","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in child and adolescent psychiatry","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:0d566be5e6424cc4bf05947b0d0d8782","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/0d566be5e6424cc4bf05947b0d0d8782","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Child and Adolescent Psychiatry, Vol 5 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/frcha.2026.1907727","doi":"https://doi.org/10.3389/frcha.2026.1907727","is_oa":true,"landing_page_url":"https://doi.org/10.3389/frcha.2026.1907727","pdf_url":"https://www.frontiersin.org/journals/child-and-adolescent-psychiatry/articles/10.3389/frcha.2026.1907727/pdf","source":{"id":"https://openalex.org/S4387284405","display_name":"Frontiers in Child and Adolescent Psychiatry","issn_l":"2813-4540","issn":["2813-4540"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Child and Adolescent Psychiatry","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320324789","display_name":"Rangsit University","ror":"https://ror.org/01cqcrc47"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7222007147.pdf","grobid_xml":"https://content.openalex.org/works/W7222007147.grobid-xml"},"referenced_works_count":48,"referenced_works":["https://openalex.org/W1979290264","https://openalex.org/W2123474987","https://openalex.org/W2138664283","https://openalex.org/W2784244485","https://openalex.org/W2914099003","https://openalex.org/W2969468537","https://openalex.org/W3026254904","https://openalex.org/W3084616576","https://openalex.org/W3130103887","https://openalex.org/W3155026344","https://openalex.org/W3193736443","https://openalex.org/W3200333413","https://openalex.org/W3214455600","https://openalex.org/W3216577223","https://openalex.org/W4288758543","https://openalex.org/W4292229870","https://openalex.org/W4292263233","https://openalex.org/W4293530464","https://openalex.org/W4293843210","https://openalex.org/W4311479404","https://openalex.org/W4311956777","https://openalex.org/W4312202274","https://openalex.org/W4321614544","https://openalex.org/W4322500219","https://openalex.org/W4353017213","https://openalex.org/W4383647807","https://openalex.org/W4392378920","https://openalex.org/W4405267417","https://openalex.org/W4405302975","https://openalex.org/W4405911759","https://openalex.org/W4407040327","https://openalex.org/W4407157288","https://openalex.org/W4407762220","https://openalex.org/W4408162062","https://openalex.org/W4408802700","https://openalex.org/W4409471932","https://openalex.org/W4409772100","https://openalex.org/W4409967080","https://openalex.org/W4411557473","https://openalex.org/W4411629046","https://openalex.org/W4412780342","https://openalex.org/W4414103923","https://openalex.org/W4414443016","https://openalex.org/W7081995623","https://openalex.org/W7125615346","https://openalex.org/W7155366368","https://openalex.org/W7161999594","https://openalex.org/W7163322379"],"related_works":["https://openalex.org/W2803062484","https://openalex.org/W4401034254","https://openalex.org/W7171416695","https://openalex.org/W3118213772","https://openalex.org/W7163992970","https://openalex.org/W4408928154","https://openalex.org/W7221376636","https://openalex.org/W4225891331","https://openalex.org/W7053378687","https://openalex.org/W4327520464"],"abstract_inverted_index":{"Purpose:":[0],"University":[1],"students":[2,45,71,148],"face":[3],"academic,":[4],"social,":[5],"economic,":[6],"and":[7,31,46,53,62,83,88,94,105,136,201,212,216,222],"digital":[8],"stressors.":[9],"Social-media":[10],"use":[11,82,139,182,236],"may":[12],"be":[13],"under-recognized":[14],"as":[15,27,198,240],"a":[16,232,241],"correlate":[17],"of":[18,69,125,133,177,204,214],"depressive":[19,116],"symptoms":[20,117],"because":[21],"online":[22,79],"engagement":[23],"is":[24],"often":[25],"viewed":[26],"routine":[28],"communication,":[29],"leisure,":[30],"academic":[32],"activity.":[33],"This":[34],"study":[35],"examined":[36],"factors":[37,255],"associated":[38,142],"with":[39,57,107,143,147,250],"depressive-symptom":[40,251],"severity":[41,252],"among":[42,186,253],"Thai":[43],"university":[44],"explored":[47],"the":[48,54,246,254],"mismatch":[49],"between":[50],"perceived":[51,188,239],"stressors":[52,189],"observed":[55],"association":[56,249],"social-media":[58,77,138,235],"use.":[59],"Methods:":[60],"tests":[61],"ordinal":[63],"logistic":[64],"regression.":[65],"A":[66],"purposive":[67],"subsample":[68],"12":[70],"participated":[72],"in":[73],"semi-structured":[74],"interviews":[75,91],"on":[76],"routines,":[78],"comparison,":[80],"nighttime":[81],"sleep,":[84],"coping,":[85],"social":[86,150,196],"support,":[87,135],"help-seeking.":[89],"All":[90],"were":[92,102,121,140],"audio-recorded":[93],"supplemented":[95],"by":[96,123,210],"contemporaneous":[97],"field":[98],"notes.":[99],"Qualitative":[100],"data":[101],"analyzed":[103],"thematically":[104],"integrated":[106],"quantitative":[108],"findings":[109,259],"through":[110,220],"joint":[111],"comparison.":[112],"Results:":[113],"Clinically":[114],"significant":[115],"(CES-D":[118],"\u2265":[119],"16)":[120],"reported":[122],"49.68%":[124],"students.":[126],"Academic":[127],"year,":[128],"major,":[129],"GPAX,":[130],"primary":[131],"source":[132],"personal":[134],"daily":[137],"independently":[141],"symptom":[144,179],"severity.":[145,180],"Compared":[146],"using":[149,155],"media":[151,197],">3":[152],"h/day,":[153],"those":[154],"it":[156],"<1":[157],"h/day":[158,167],"(OR":[159,168],"=":[160,169],"0.125,":[161],"95%":[162,171],"CI:":[163,172],"0.040-0.391)":[164],"or":[165],"1-3":[166],"0.424,":[170],"0.278-0.647)":[173],"had":[174],"lower":[175],"odds":[176],"greater":[178],"Internet/social-media":[181],"ranked":[183],"only":[184],"fifth":[185],"eight":[187],"(37.01%":[190],"agreement).":[191],"Three":[192],"qualitative":[193],"themes":[194],"described":[195],"an":[199],"embedded":[200],"ambivalent":[202],"part":[203],"student":[205],"life,":[206],"psychological":[207],"effects":[208],"shaped":[209],"patterns":[211],"interpretations":[213],"use,":[215],"distress":[217],"managed":[218],"mainly":[219],"self-coping":[221],"trusted":[223],"informal":[224],"support.":[225],"Conclusion:":[226],"The":[227],"key":[228],"mixed-methods":[229],"finding":[230],"was":[231,237],"perception-association":[233],"mismatch:":[234],"not":[238,261],"leading":[242],"stressor":[243],"yet":[244],"showed":[245],"strongest":[247],"adjusted":[248],"examined.":[256],"These":[257],"cross-sectional":[258],"do":[260],"establish":[262],"causality":[263],"but":[264],"support":[265],"digital-wellbeing":[266],"assessment":[267],"beyond":[268],"duration":[269],"alone.":[270]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-16T00:00:00"}